摘要
目的探讨程序化急救联合快速通道手术临床护理路径(FTS-CNP)模式干预对晚期肺癌(LC)咯血患者呼吸功能及生活质量的影响。方法将82例晚期LC咯血患者按干预方法的不同分为观察组40例和对照组42例,观察组采取程序化急救联合FTS-CNP模式干预,对照组采取常规干预。比较两组患者的呼吸功能[第1秒用力呼气容积(FEV_(1))、用力肺活量(FVC)及FEV_(1)/FVC]、生活质量[癌症患者生命质量测定量表(FACT-G)]、并发症发生情况及满意度。结果干预4周后,两组患者FEV_(1)、FVC、FEV_(1)/FVC均较干预前升高,且观察组患者FEV_(1)、FVC、FEV_(1)/FVC均高于对照组,差异均有统计学意义(P﹤0.05)。干预4周后,两组患者FACT-G量表评分均较干预前降低,且观察组患者FACT-G量表评分低于对照组,差异均有统计学意义(P﹤0.05)。观察组患者并发症总发生率低于对照组,满意情况优于对照组,差异均有统计学意义(P﹤0.05)。结论程序化急救联合FTS-CNP模式干预可有效改善晚期LC咯血患者呼吸功能,减少并发症发生,且有助于提高患者的生活质量及干预满意度。
Objective To investigate the effects of programmed first aid combined with fast track surgery-clinical nursing pathway(FTS-CNP)on respiratory function and quality of life in patients with advanced lung cancer(LC)hemoptysis.Method A total of 82 patients with advanced LC hemoptysis were divided into observation group(40 cases)and control group(42 cases)according to different intervention methods.The observation group was given programmed first aid combined with FTS-CNP mode intervention,while the control group was given routine intervention.The respiratory function[forced expiratory volume in one second(FEV_(1)),forced vital capacity(FVC)and FEV_(1)/FVC],quality of life[functional assessment of cancer therapy-general(FACT-G)],incidence of complications and satisfaction were compared between the two groups.Result After 4 weeks of intervention,FEV_(1),FVC and FEV_(1)/FVC in two groups were higher than those before intervention,and FEV_(1),FVC and FEV_(1)/FVC in observation group were higher than those in control group,the differences were statistically significant(P<0.05).After 4 weeks of intervention,the scores of FACT-G scale in both groups were lower than those before intervention,and the scores of FACT-G scale in observation group was lower than that in control group,the differences were statistically significant(P<0.05).The total incidence of complications in observation group was lower than that in control group,and satisfaction was better than that in control group,the differences were statistically significant(P<0.05).Conclusion Programmed first aid combined with FTS-CNP mode intervention can effectively improve the respiratory function of patients with advanced LC hemoptysis,reduce the occurrence of complications,and help to improve the quality of life and intervention satisfaction of patients.
作者
刘贝贝
曹志远
何新梅
LIU Beibei;CAO Zhiyuan;HE Xinmei(Department of Emergency Medicine,Zhengzhou Yihe Hospital,Zhengzhou 450000,He’nan,China)
出处
《癌症进展》
2024年第16期1845-1848,共4页
Oncology Progress
关键词
晚期肺癌
咯血
程序化急救
快速通道手术临床护理路径
并发症
呼吸功能
advanced lung cancer
hemoptysis
programmed first aid
fast track surgery-clinical nursing pathway
complication
respiratory function
